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North Carolina rates for HCPCS 0164U

Gastroenterology (irritable bowel syndrome [IBS]), immunoassay for anti-CdtB and anti-vinculin antibodies, utilizing plasma, algorithm for elevated or not elevated qualitative results

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.62 / $89.62 / $185.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.41 / $89.62 / $89.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $145.62 / $294.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.44 / $128.44 / $160.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.25 / $89.62 / $112.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.81 / $112.02 / $112.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.01 / $56.01 / $112.02
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.91 / $532.10 / $532.10